NPIMap

Organization Active NPI

Ludington Family Dental PLLC

  • General Practice Dentistry
  • Ludington, MI
National Provider Identifier
1033859384
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUDINGTON FAMILY DENTAL PLLC
Practice address
102 S Washington Ave
Ludington, MI 49431-2283
Phone
(231) 690-6820
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric Dorian Reum, DDSNPI 1730530106
Title
Dentist
Phone
(231) 690-6820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

102 S Washington Ave
Ludington, MI 49431-2283

Mailing address

1020 N Beechwood Dr
Ludington, MI 49431-1320
Phone (231) 690-6820

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1033859384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N BEECHWOOD DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311320",
            "telephone_number": "231-690-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312283",
            "telephone_number": "231-690-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDINGTON FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "REUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DORIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "231-690-6820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.